Parishioner Registration InstagramThis field is for validation purposes and should be left unchanged. Household Information Family Last Name(Required)Home Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Is The Mailing Address the Same?(Required) Yes No Mailing Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Mobile Phone Number(Required)Parishioners who complete the online registration form agree to receive text messages from St. Frances Xavier Cabrini Catholic Church regarding registration, sacraments, and ministry activities. By submitting the form, they confirm they want to receive SMS communication from church staff. Message frequency may vary. Message and data rates may apply. Reply STOP to opt out, HELP for assistance.Email Address(Required) Head of Household Please provide all requested information for the head of household. This section is required for all registrations. Head of Household(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Suffix Date of Birth(Required) Gender(Required) Male Female Occupation(Required)Religion(Required)Roman CatholicNon-DenominationalBaptistLutheranOtherSpecify Other ReligionCatholic Sacraments Completed(Required) Baptism First Holy Communion Confirmation Catholic Marriage None Languages Spoken(Required)Marital Status(Required)SingleMarried (Catholic Church)Married (Outside Catholic Church)DivorcedWidowed Spouse Information Please provide all requested information for your spouse. Spouse / Significant Other(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Suffix Spouse's Date of Birth(Required) Spouse Gender(Required)MaleFemaleSpouse's Religion(Required)Roman CatholicNon-DenominationalBaptistLutheranOtherSelect oneSpouse's Catholic Sacraments Completed(Required) Baptism First Holy Communion Confirmation Catholic Marriage None Spouse's Occupation(Required)Are there other household members? (children, family members, etc)(Required) Yes No Household Member #1 Please provide all requested information for this household member. Household Member Name #1(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Suffix Relationship to Head of Household?(Required)Date of Birth #1(Required) Gender #1(Required)MaleFemaleSchool Grade #1 ( If applicable)Catholic Sacraments Completed #1(Required) Baptism First Holy Communion Confirmation Catholic Marriage None Add another household members with #1?(Required) Yes No < Household Member #2 Please provide all requested information for this household member. Household Member Name #2(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Suffix Relationship to Head of Household?(Required)Date of Birth #2(Required) Gender #2(Required)MaleFemaleSchool Grade #2 ( If applicable)Catholic Sacraments Completed #2(Required) Baptism First Holy Communion Confirmation Catholic Marriage None Add another household members with #2?(Required) Yes No Household Member #3 Please provide all requested information for this household member. Household Member Name #3(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Suffix Relationship to Head of Household?(Required)Date of Birth #3(Required) Gender #3(Required)MaleFemaleSchool Grade #3 ( If applicable)Catholic Sacraments Completed #3(Required) Baptism First Holy Communion Confirmation Catholic Marriage None Add another household members with #3?(Required) Yes No Household Member #4 Please provide all requested information for this household member. Household Member Name #4(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Suffix Relationship to Head of Household?(Required)Date of Birth #4(Required) Gender #4(Required)MaleFemaleSchool Grade #4 ( If applicable)Catholic Sacraments Completed #4(Required) Baptism First Holy Communion Confirmation Catholic Marriage None
